2025 CPT code 11623
Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Integumentary System Feed
Excision of a malignant lesion, including margins, from the scalp, neck, hands, feet, or genitalia, measuring 2.1 to 3.0 cm in diameter.
Modifiers may be applicable, examples include:1. Modifier 58 for staged or related procedure during the postoperative period.2. Modifier 59 for a distinct procedural service.3. Modifier 78 for an unplanned return to the operating room.
Medical necessity for this procedure is established by the presence of a biopsy-proven malignant skin lesion. The size and location of the lesion also factor into the decision to excise.
The physician prepares the surgical site, administers local anesthesia, and excises the malignant lesion along with a margin of healthy tissue. The wound is then closed using simple closure techniques.The excised tissue is usually sent for pathological examination.
In simple words: Removal of skin cancer (2.1 - 3 cm) from sensitive areas like the scalp, neck, hands, feet, or genitals.
This code describes the surgical removal of a cancerous (malignant) lesion of the skin, including margins, with a diameter of 2.1 to 3.0 cm. The procedure involves excising the lesion in its entirety, along with a margin of healthy surrounding tissue to ensure complete removal. This procedure is typically performed on the scalp, neck, hands, feet, or genitalia.It includes simple closure of the surgical site.
Example 1: A 2.5 cm malignant melanoma is excised from the scalp., A 2.2 cm squamous cell carcinoma is removed from the hand., A 2.8 cm basal cell carcinoma is excised from the neck.
Documentation should include the location and size of the lesion, the type of malignancy, the margins excised, the method of closure, and any complications encountered. Pathology reports confirming the diagnosis are also necessary.
- Specialties:Dermatology, Plastic Surgery, General Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center